| NPI | 1780230045 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 130686) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 114001) |
| Enumeration Date | 2019-08-13 |
| Last Update Date | 2024-01-05 |